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Re: bicarb vs.CO2

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See, this is why I go blank whenever this subject comes up, I remember

reading something like this below when was having trouble in hospital

with wildly fluctuating ph levels, but ask me to repeat it, or explain it,

and um......well, no go :)

The situation gets even more complicated though when the kidneys start

producing excess bicarbonate as compensation for chronic acidity - this is

what they think happened with , (he actually went into metabolic

alklalosis despite still being on the keto diet at the time) and we THINK

that putting him on the low dose topomax may have helped combat that, and

switched this compensatory process off, allowing the acidic ketone bodies to

kick in again. His return to an acidic ph and stable ketones certainly

co-incided with this med being introduced, but as a lot of other changes

were going on at the same time, it is once again not something that we can

get a 100% def answer on.

----- Original Message -----

> Hi gang-

> Since I was confused about the difference between

> bicarb levels and CO2 - I looked it up and wanted to

> share ---

>

> In our bodies - the buffering weak acid is carbon

> dioxide and the buffering weak base is the bicarbonate

> - all bicarbonate is converted to CO2.

>

> Total CO2 is the sum of carbonic acid and the

> bicarbonate - and the normal ratio of bicarb. to

> carbonic acid at physiologic pH is about 20:1 - total

> CO2 will be 5% higher than serum bicarbonate.

>

> Apparently - another " measure " of serum bicarbonate is

> frequently termed " CO2 " or total carbon dioxide BUT

> this is misleading - total CO2 means the amount of

> bicarb. plus carbon dioxide.

>

> Because there is 20X more bicarb than CO2 - total CO2

> levels are approximately equal to bicarb levels

>

> In addition, when there is a difference between total

> CO2 and bicarbonate that is larger than 5% - the

> patient will be acidotic.

>

> Hope this helps!

> (mom to )

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Any behavioural or learning problems with the topomax?

, 's mom

& Hill wrote:

> See, this is why I go blank whenever this subject comes up, I

> remember

> reading something like this below when was having trouble in

> hospital

> with wildly fluctuating ph levels, but ask me to repeat it, or explain

> it,

> and um......well, no go :)

> The situation gets even more complicated though when the kidneys

> start

> producing excess bicarbonate as compensation for chronic acidity -

> this is

> what they think happened with , (he actually went into metabolic

>

> alklalosis despite still being on the keto diet at the time) and we

> THINK

> that putting him on the low dose topomax may have helped combat that,

> and

> switched this compensatory process off, allowing the acidic ketone

> bodies to

> kick in again. His return to an acidic ph and stable ketones certainly

>

> co-incided with this med being introduced, but as a lot of other

> changes

> were going on at the same time, it is once again not something that we

> can

> get a 100% def answer on.

>

>

>

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Guest guest

Any behavioural or learning problems with the topomax?

, 's mom

& Hill wrote:

> See, this is why I go blank whenever this subject comes up, I

> remember

> reading something like this below when was having trouble in

> hospital

> with wildly fluctuating ph levels, but ask me to repeat it, or explain

> it,

> and um......well, no go :)

> The situation gets even more complicated though when the kidneys

> start

> producing excess bicarbonate as compensation for chronic acidity -

> this is

> what they think happened with , (he actually went into metabolic

>

> alklalosis despite still being on the keto diet at the time) and we

> THINK

> that putting him on the low dose topomax may have helped combat that,

> and

> switched this compensatory process off, allowing the acidic ketone

> bodies to

> kick in again. His return to an acidic ph and stable ketones certainly

>

> co-incided with this med being introduced, but as a lot of other

> changes

> were going on at the same time, it is once again not something that we

> can

> get a 100% def answer on.

>

>

>

Link to comment
Share on other sites

Guest guest

Any behavioural or learning problems with the topomax?

, 's mom

& Hill wrote:

> See, this is why I go blank whenever this subject comes up, I

> remember

> reading something like this below when was having trouble in

> hospital

> with wildly fluctuating ph levels, but ask me to repeat it, or explain

> it,

> and um......well, no go :)

> The situation gets even more complicated though when the kidneys

> start

> producing excess bicarbonate as compensation for chronic acidity -

> this is

> what they think happened with , (he actually went into metabolic

>

> alklalosis despite still being on the keto diet at the time) and we

> THINK

> that putting him on the low dose topomax may have helped combat that,

> and

> switched this compensatory process off, allowing the acidic ketone

> bodies to

> kick in again. His return to an acidic ph and stable ketones certainly

>

> co-incided with this med being introduced, but as a lot of other

> changes

> were going on at the same time, it is once again not something that we

> can

> get a 100% def answer on.

>

>

>

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